Individual provider · Type 1 NPI

Matthew Lee Fair, PA-C

Medical Physician Assistant · Mansfield, OH

NPI number 1407577893 Active

Practice location

335 Glessner Ave Fl MOB2
Mansfield, OH 44903-2269

Fax (567) 241-7719

Mailing address

PO Box 7527
Dublin, OH 43017-0727

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XNone listed
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1407577893

Matthew Lee Fair, PA-C's National Provider Identifier is 1407577893, issued on Sep 6, 2022. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Mansfield, OH. The record was last updated on Jan 4, 2023.